JOURNEY REVEALED


Address: 1700 First Baxter Xing, Suite 204, Fort Mill, SC 29708-8948
Phone: 8034310734

JOURNEY REVEALED (NPI# 1427301092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427301092
Entity Type Organization
Organization Name JOURNEY REVEALED
Practice Address 1700 First Baxter Xing
Suite 204
Fort Mill
SC 29708-8948
Mailing Address 44429 Oriole Dr
Unit 101
Indian Land
SC 29707-5947
Practice Telephone 8034310734
Enumeration Date 2012-10-19
Last Update Date 2012-10-19
Authorized Official Name LAURI MAZE-DAVIS (MANAGER)
Authorized Official Telephone 8034310734
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1700 FIRST BAXTER XING
SUITE 204
City FORT MILL
State SC
Zip Code 29708-8948

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366412033 Rebecca L Smith Dermatology 1700 First Baxter Xing, Ste 101, Fort Mill, SC 29708-8919 2006-01-25
1134641855 Inner Resources Therapy LLC Social Worker 1700 First Baxter Xing, Fort Mill, SC 29708-8948 2017-07-14
1770997272 Jane E. Liotta, Lpc, LLC Counselor 1700 First Baxter Xing, Suite 204, Fort Mill, SC 29708-8948 2014-06-12
1982958138 Sound Advice Hearing Center LLC Hearing Instrument Specialist 1700 First Baxter Xing, Ste 103, Fort Mill, SC 29708-8948 2012-11-08
1598020513 Kim Engel-hughes, Lpc, LLC Counselor 1700 First Baxter Xing, Suite 204, Fort Mill, SC 29708-8948 2012-07-05
1053687434 John B Davis Hearing Instrument Specialist 1700 First Baxter Xing, Suite 103, Fort Mill, SC 29708-8948 2012-03-29
1568625515 Jeffrey Bradford Mokris Dentist 1700 First Baxter Xing, Suite 201, Fort Mill, SC 29708-8948 2008-07-09
1528189156 Jane Liotta Counselor 1700 First Baxter Xing, Suite 204, Fort Mill, SC 29708-8948 2007-04-02
1053334045 Fort Mill Dermatology, LLC Dermatology 1700 First Baxter Xing, Ste 101, Fort Mill, SC 29708-8919 2006-07-25
1295778728 Donita Patricia Holmes Social Worker 1700 First Baxter Xing, Ste 204, Fort Mill, SC 29708-8948 2006-06-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265089098 Jennifer Priory O'keefe Nurse Practitioner 117 Stone Village Dr., Fort Mill, SC 29708 2019-08-26
1144790577 Mary Kathleen Gerber Speech-Language Pathologist 1874 Second Baxter Crossing, Fort Mill, SC 29708 2018-11-28
1275016263 R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc Dentist 929 Market St, Fort Mill, SC 29708 2018-09-14
1861985384 Hf Care Services LLC Counselor 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 2018-06-09
1134619802 Myeyedr Optometry of South Carolina, LLC Optometrist 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 2018-05-17
1255832549 Lakeshore Dental Inc. Dentist 1200 Gold Hill Road, Fort Mill, SC 29708 2018-02-22
1407362338 Smith Physical Therapy and Wellness Physical Therapist 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 2017-12-14
1841704244 Modern Concepts, LLC General Practice 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 2017-11-21
1942729355 Alexis Rose Muttillo Specialist/Technologist 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 2017-09-18
1407308208 Brenda Terry Acupuncturist 1171 Market Street, Ste # 112, Fort Mill, SC 29708 2016-10-27
Find all providers in zip 29708

Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831491331 Lauri Maze-davis Clinical Nurse Specialist 130 Ben Casey Drive, Ste 102, Fort Mill, SC 29708-6567 2010-12-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033211321 Leslie R Justice Clinical Nurse Specialist 1278 North Lafayette Drive, Sumter, SC 29150-2964 2006-09-05
1407234909 Bernice Kennedy Clinical Nurse Specialist 18 Barnette Dr, Sumter, SC 29150-8004 2015-05-15
1255722633 Catherine M. Etori Clinical Nurse Specialist 701 Cashua Ferry Rd, Darlington, SC 29532-8488 2015-02-06
1346451069 Therese Kathleen Killeen Clinical Nurse Specialist 125 Doughty St, Suite 190, Charleston, SC 29403-5736 2007-05-24

Competitor

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City FORT MILL
Zip Code 29708

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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